go back

Tennessee rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $281.84